Pureed by Gastrostomy Tube Diet Improves Gagging and Retching in Children With Fundoplication
Pureed by Gastrostomy Tube Diet Improves Gagging and Retching in Children With Fundoplication
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DOI：
10.1177/0148607110377797
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发表时间：
2011-05-01
影响因子：
3.4
通讯作者：
Kaul, Ajay
中科院分区：
文献类型：
--
作者：
Pentiuk, Scott;O'Flaherty, Therese;Kaul, Ajay
背景：患有需要Nissen胃底折叠术的喂养障碍的儿童在胃造口术喂养后可能会出现呕吐和干呕。我们开发了一种“胃造口管灌浆”(PBGT)饮食，试图治疗这些症状，并提供足够的营养和水分。方法：选择胃底折叠术后出现呕吐、呕吐、胃造瘘管喂养症状的儿童为研究对象。个性化的PBGT饮食是为了满足儿童的营养目标而设计的。在每次随访时记录孩子的体重增加。进行了一项电话调查，以确定父母对儿童症状和口服喂养耐受性的看法。结果：33名儿童(平均年龄34.2个月)参加了试验。PBGT饮食的平均体重增加了6.2g/d。据报道，17名儿童(52%)的呕吐和干咳减少了76%-100%。据报道，24名儿童(73%)的症状下降了50%。服用PBGT饮食的儿童中没有症状恶化。据报道，19名儿童(57%)在PBGT饮食中的口服摄入量增加。结论：PBGT饮食是为进食障碍儿童提供营养的有效手段。对于胃底折叠术后的儿童，PBGT饮食可能会减少呕吐和呕吐行为。(JPEN J Parenter Enteral Nutr.2011；35：375-379)
Background: Children with feeding disorders requiring Nissen fundoplication may develop gagging and retching following gastrostomy feedings. We developed a "pureed by gastrostomy tube" (PBGT) diet in an attempt to treat these symptoms and provide adequate nutrition and hydration. Methods: Children post-fundoplication surgery with symptoms of gagging and retching with gastrostomy feedings were selected from our interdisciplinary feeding team. An individualized PBGT diet was designed to meet the child's nutrition goals. The child's weight gain was recorded at each follow-up visit. A telephone survey was performed to determine parents' perceptions of the child's symptoms and oral feeding tolerance. Results: Thirty-three children (mean age, 34.2 months) participated in the trial. Average weight gain on the PBGT diet was 6.2 g/d. Seventeen children (52%) were reported to have a 76%-100% reduction in gagging and retching. Twenty-four children (73%) were reported to have a >= 50% decrease in symptoms. No child had worsened symptoms on the PBGT diet. Nineteen children (57%) were reported to have an increase in oral intake on the PBGT diet. Conclusions: A PBGT diet is an effective means of providing nutrition to children with feeding disorders. In children post-fundoplication surgery, a PBGT diet may decrease gagging and retching behaviors. (JPEN J Parenter Enteral Nutr. 2011; 35: 375-379)